Patient Access Representative - Admissions

Healthier Mississippi People; Jackson (MS); On-site; USD 30,000 - 40,000; Full time

Job summary

Healthier Mississippi People in Jackson seeks a candidate for patient financial services. The role involves managing billing, claims processing, and ensuring compliance with HIPAA regulations.

Applicants should have a high school diploma and at least one year in revenue cycle experience. Responsibilities include engaging in billing operations and communicating effectively with patients.

Qualifications

• Requires one year of related revenue cycle experience.
• Basic knowledge of third-party insurance and government plans is preferred.

Responsibilities

• Engage in core revenue cycle functions such as billing and claims filing.
• Maintain strict confidentiality and adhere to HIPAA guidelines.
• Prepare and submit clean claims to insurance companies.
• Verify patient insurance coverage and benefits.

Skills

Basic knowledge of medical claims processing

Ability to maintain confidentiality

Good verbal and written communication skills

Effective organizational skills

Basic computer skills, including Microsoft Word and Excel

Basic knowledge of medical terminology

Ability to pay attention to detail

Good interpersonal communication

Education

High school diploma or GED

Job description

Job Summary

To perform patient financial service functions such as scanning, filing, receiving and reviewing correspondence, reviewing third-party and patient billing, as well as review and resolution of billing questions, at an introductory level. Ensures financial success for University of Mississippi Medical Center through diligent approach to work and attention to detail.

Knowledge, Skills, and Abilities

• Basic knowledge of medical claims processing.
• Ability to maintain confidentiality.
• Good verbal and written communication skills.
• Maintains professional standards.
• Effective organizational skills.
• Basic computer skills, including proficiency in Microsoft Word and Excel, and basic data entry.
• Basic knowledge of medical terminology.
• Basic knowledge of revenue cycle functions.
• Ability to pay attention to detail.
• Ability to maintain a professional appearance and attitude.
• Ability to read, write, type, and follow oral and written directions.
• Ability to work independently to effectively and efficiently perform assigned duties.
• Good interpersonal communication and organizational skills, and proven ability to work effectively with others.

Responsibilities

• Engage in core revenue cycle functions such as billing, claims filing, data entry, charge entry, insurance follow‑up, denial management, payment posting, customer service, and billing records review.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
• Comply with policies, processes and department guidelines for assigned revenue cycle duties.
• Prepare and submit clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner.
• Process assigned reports, worklists, and patient accounts with high accuracy and attention to detail.
• Collaborate with management and co‑workers in an open and positive manner.
• Communicate with patients regarding their accounts, answer billing questions, and provide information on payment options.
• Verify patient insurance coverage and benefits and coordinate with insurance companies to resolve any discrepancies.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all‑inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands

Requires occasional exposure to an unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional traveling to offsite locations, and occasional work produced is subject to precise measures of quantity and quality. May involve occasional bending, lifting/carrying up to 10, 25, 50, or 75 pounds, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, frequent reaching, frequent sitting, standing, occasional twisting, and frequent walking. Occasional up to 20%, frequent from 21% to 50%, constant 51% or more.

Education & Experience

High school diploma or GED and one (1) year of related revenue cycle experience.

Preferred Qualifications

• Knowledge of ICD-10/HCPCS/CPT coding.
• Basic knowledge of third‑party insurance and government insurance plans.